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COMPAR-EU RCTs Web

A community-based exercise programme in COPD self-management: two years follow-up of the COPE-II study

Author: Zwerink, M. Country/countries: Netherlands Number of patients participating in the study: 159 This study was focused on patients living with COPD
Intervention analysed in the study: Education delivered in groups Intervention components: E+G
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Setting of implementation: Outpatient care (hospital) Professionals delivering the intervention: Nurses, Physiotherapists Targeted self-management behaviours: Condition-specific behaviours, Early recognition of symptoms, Eating behaviours, Medication use and adherence, Physical activity /exercise, Self-monitoring
Intervention analysed in the study: Monitoring techniques delivered in groups Intervention components: E+MT+G
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Setting of implementation: Home-care, Outpatient care (hospital) Professionals delivering the intervention: Physiotherapists Targeted self-management behaviours: Condition-specific behaviours, Early recognition of symptoms, Eating behaviours, Medication use and adherence, Physical activity /exercise, Self-monitoring

Outcomes measured in the study

Outcome Measure Tool
COPD symptoms (short term) Dyspnea or breathlessness Chronic respiratory disease questionnaire (CRQ) - Dyspnea
Coping with the disease, including depression and anxiety Anxiety Hospital Anxiety and Depression Scale (HADS)-Anxiety subscale
Coping with the disease, including depression and anxiety Depression Hospital Anxiety and Depression Scale (HADS) -depression subscale
Physical activity / Muscle strenght Exercise capacity Incremental Shuttle Walking Test (ISWT)
Physical activity / Muscle strenght Exercise capacity The endurance shuttle walk (ESWT)
Physical activity / Muscle strenght Steps a day steps a day (pedometer)
Qualiy of life Quality of life (specific-disease instruments) N/A

Patient characteristics

Age: 63.4 years (+/- a standard deviation of 7.95) Gender: N/A Time since diagnosis of COPD: N/A Severity of the disease: 50.05 (+/- a standard deviation of 15.65) Multi-morbidity: N/A
  • Number of co-morbidities: N/A

Level of health literacy: N/A
  • Tool: N/A

Socio-economic characteristics: N/A

Risk of Bias of this study

Outcome Random sequence generation Allocation concealment Blinding performance Blinding detection objective outcomes assessment Attrition incomplete outcome Incorrect statistical methods Recruitment bias Selective outcome reporting
COPD symptoms (short term) - Dyspnea or breathlessness
Coping with the disease, including depression and anxiety - Anxiety
Coping with the disease, including depression and anxiety - Depression
Physical activity / Muscle strenght - Exercise capacity
Physical activity / Muscle strenght - Exercise capacity
Physical activity / Muscle strenght - Steps a day
Qualiy of life - Quality of life (specific-disease instruments)
Qualiy of life - Quality of life (specific-disease instruments)

Other publications associated with this study

(Cost)-effectiveness of self-treatment of exacerbations on the severity of exacerbations in patients with COPD: the COPE II study Link: 10.1136/thx.2008.112243 Community based physiotherapeutic exercise in COPD self-management: a randomised controlled trial Link: 10.1016/j.rmed.2010.09.017 Cost-Effectiveness of a Community-Based Exercise Programme in COPD Self-Management Link: 10.3109/15412555.2015.1074171 (Cost-)effectiveness of self-treatment of exacerbations in patients with COPD: 2 years follow-up of a RCT Link: 10.1111/resp.12697 Relationship between daily physical activity and exercise capacity in patients with COPD Link: 10.1016/j.rmed.2012.09.018 Supplementary file Effing